For our final talk of 2020 we were fortunate to have four speakers:
1. Lauren Williamson is a 3rd year medical student on the prehospital care programme with an interest in emergency medicine. Lauren presented the case of an elderly gentleman found on the floor by his carer following a stroke and explored the complexities of patient management in this scenario.
2. Surgeon Captain Kate Prior is a consultant anaesthetist in the Royal Navy and at King’s College Hospital. Her operational military role has taken her to war in Afghanistan, Iraq and Sierra Leone during the Ebola crisis and working for the United Nations in South Sudan. As the Training Programme Director for the South East School of Anaesthesia, she is responsible for the training and pastoral care of over 100 civilian and military trainees. She also provides pre-hospital care for the military, for the Abu Dhabi Grand Prix and sporting events as diverse as Tough Mudder, the Bramham International Horse Trials and the London Marathon.
She delivered an elderly trauma talk, usually delivered on the ATACC course (ANAESTHESIA TRAUMA & CRITICAL CARE).
3. Phillip Towers is a senior military paramedic and currently the lead non-doctor medic at commando training.He is an examiner for the Diploma of Immediate Medical Care at the Edinburgh RCS faculty of Prehospital care and is a National Inter-agency Liaison officer. Mr Towers presented three mini-case studies covering the fundamentals of geriatric emergency medicine and key points of trauma in the elderly.
4. Dr Harriet Tucker is a consultant in Emergency Medicine with sub-specialty certification in Pre-Hospital Emergency Medicine. Her interests are major trauma, pre-hospital emergency medicine and research. She also works as a HEMS doctor for Kent, Surrey and Sussex air ambulance. Dr Tucker presented some geriatric trauma case studies exploring why the older patient may present differently, why they are often under triaged and how we can address these challenges.
For our second Academic forum we heard from chief London air ambulance pilot Neil Jeffers as well as Barts medical students Sophie Schofield and Eva Phillips.
1. Sophie is a fourth year medical student with an interest in emergency medicine and obstetrics and 3 years experience on the Prehospital care programme. Sophie presented the case of a gentleman presenting with strange neurological symptoms and discussed the importance of teamwork when treating a patient.
2. Captain Neil Jeffers is chief pilot at London’s Air Ambulance with whom he has flown since 2005 as well as an experienced crew resource management instructor. He also volunteers as an emergency responder with the London Ambulance Service. Captain Jeffers discussed how to efficiently manage human factors in a prehospital environment.
3. Eva is a medical student currently intercalating in PHM with an interest in trauma surgery and emergency medicine in austere environments. Eva presented the case of a patient with low GCS from a head injury and discussed the complexities of team dynamics under pressure.
For our first forum of the academic year we had three speakers:
1. Jess Froggatt is a 5th year medical student, former PCP Lead Student and alumni of the Pre-hospital care iBsc who presented the case of a critically ill patient that she attended with LAS following a fall on to a busy road. She provided insight into how to assess a patient in such challenging environments, how the London Air Ambulance added to patient care and the human factors surrounding this case.
2. Dr Nabeel Jemah is an emergency medicine consultant at the Royal London Hospital and formerly a PRU fellow with London's air ambulance.
He discussed the mechanisms of injury found in falls from height as well as the possible interventions and insights in the prehospital environment.
3. Benji Watkins is a 3rd year medical student and Co-president of the Pre-Hospital emergency medicine society at Imperial where he has had two years of experience on the ambulance observer programme and over 1100 hours as a volunteer emergency responder for LAS.
Benji discussed the non-clinical aspects of a fall from height he attended including how to optimise space and work more effectively as a team.
Our February Academic Forum was on Obstetrics Emergencies. We had two speakers:
1. Omar Elhalwagy, a PCP student and our Academic Forums Officer. Omar talked about a complex case he attended while on shift, the process of diagnostic reasoning in this case and the change in priorities when learning more information.
2. Andy Whitehouse, a HEMS paramedic with London's Air Ambulance. His talk focused on why obstetrics emergencies can be difficult to manage in a prehospital environment and took us through the management of some emergencies you might encounter..
Our January Academic Forum was on the topic of Catastrophic Injury. We had 3 speakers:
1. Dr. Jonny Scrimshaw, an Emergency Medicine and Prehospital Care doctor with London’s Air Ambulance and the Physician Response Unit. He spoke about traumatic cardiac arrest and catastrophic injury as a post-mortem diagnosis, highlighting why patients are worth fighting for.
2. Harry Mitchell, a fourth year MBBS student and a third-year student on the PCP programme. He spoke about a RTC he attended, the importance of reading the scene and the considerations around RTCs involving a motorcycle.
3. Dr. Gareth Grier, a consultant with London's Air Ambulance and Clinical Director and Education Lead at The Institute of Pre-Hospital Care. He is also the co-founder of the Pre-Hospital Care iBSc which runs at Barts and The London. He explored what catastrophic injury means, talking through cases and examples.
Our November Academic Forum was on the topic of Paediatric Trauma. It was our first ever international one, and students on the Barts MBBS course in Malta streamed the talks for the first time. We had two speakers:
1. Dr. Prasanth Sritharan, a PCP alumn and ex-Academic Forums Officer soon to start CT1 in Anaesthetics. He spoke about a case he attended when he was a student on the PCP programme of a significant fall in a young child. He also spoke about important differences in physiology between children and adults.
2. Dr. Andrew Wood, a HEMS anaethetist working with London's Air Ambulance with an interest in major trauma. He spoke about a case he attended, involving two paediatric patients
Our first Academic forum of the year with our new AF Officers, Eliot Siggs and Omar Elhalwagy, was on the theme of Uncertainty in a prehospital care setting. We had three speakers:
1. Dr. Andrew Milne, a HEMS registrar with London's Air Ambulance and a trainee at the Central London School of Anaesthesia. He spoke about the sources and dimensions of uncertainty, the concept of bandwidth, and ways clinical uncertainty can be minimised.
2. Daniel Wynn, a third year MBBS student on the PCP programme, was talking about a cardiac arrest he attended, where language barriers and difficulty communicating with the patient's family made decision-making regarding continuing CPR very complex.
3. Dr. Carl Evans, a junior doctor and alumn of the Prehospital Care iBSc. He wrote his dissertation on uncertainty following out of hospital cardiac arrest and management of these patients, and has done further research on the topic since. At the forum, this is what he spoke about, focusing on airway management, drugs, refractory VF as well as where should the patient go?
Especially for us time has flown since we had our first AF in September 2018 and now its is our final AF of the 2018-2019 year. For our final AF, we come full circle from the topic we originally began this year, which was on Knife Crime and Trauma. For this AF, we had three great speakers including:
1) Dr Ben Singer, discussed penetrating traumas and also on the use of REBOA and its future developments.
2) Jon Haigh, a Tactical Response Unit Paramedic, spoke about the Do's and dont's of responding alone to a penetrating poly-trauma patient, providing a Paramedic's perspective of a case.
3) Joe Berry, 3rd year PCP student. Joe spoke about a case he had attended with HEMS. In particular, he discussed the management of the patient with multiple penetrating injuries and hypovolemic shock.
Thank you to all the speakers that have given up their time to speak to us at these AFs and those that attended them! Massive thank you to our AF officer, Sruthi for all her hard work organising speakers and booking the lecture theatre. Now she hands the reigns of academic forums to the new AF officers, Omar and Eliot.
Our penultimate academic forum of the 2018/2019, which we have to admit has arrived very quickly. The April forum was based on the topic of Fundamentals of Prehospital Care. We had four speakers including:
Speaker 1: Natalie Jones, a LAS paramedic, who discussed a case that she had attended with a theme of assessing difficult patient groups. One of her key discussions will focus on the assessments of individuals with learning difficulties and/or ASD and some of the challenges that may present.
Speaker 2: Captain Neil Jeffers, the Chief Pilot with LAA, will be discussed his own experiences flying with HEMS and handling of human factors
Speaker 3 and 4: The final speakers were our fellow colleagues from the Prehospital Medicine iBSc, Zoe Leadbetter and Ashleigh Pittams. They discussed two arrest cases with a focus on the clinical details of both. In particular they discussed the primary survey of both and reflect on the cases by telling us what they learnt from these cases.
Our Academic Forum, this time around was on the topic of Human Factors. Speakers included two PCP student speakers and our very own PCP Lead Paramedic
1) Our first speaker was 3rd year medical student, Maria Ahmad. She discussed a case she had attended on a recent shift with her PCP mentor and the human factors related to the case. A special note which have been discussed in many AFs is the role of bandwidth and how it can be taken up for a student but also for any healthcare professional
2) Second speaker was 4th year medical student, Zakaria Rob. He discussed two cases that he attended during his MEDIC 2 shifts. With incorporation of human factors but also reflections of both shifts.
3) Our final speaker was our PCP Lead Paramedic, Craig Cassidy. He discussed his personal experience during the 7/7 attack and some of the difficult conditions he had to work in. Like Maria's talk, he discussed how his bandwidth was personally affected and crucially how it can be easily taken up in situations like this.